Left versus right deceased donor renal allograft outcome.
Phelan, Paul J Shields, William O'Kelly, Patrick Pendergrass, Melissa Holian, John Walshe, Joseph J Magee, Colm Little, Dilly Hickey, David Conlon, Peter J
Phelan, Paul J
Shields, William
O'Kelly, Patrick
Pendergrass, Melissa
Holian, John
Walshe, Joseph J
Magee, Colm
Little, Dilly
Hickey, David
Conlon, Peter J
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Advisors
Editors
Other Contributors
Date
2009-12
Date Submitted
Keywords
Other Subjects
Subject Mesh
Adult
Cadaver
Creatinine
Female
Graft Survival
Humans
Kidney
Kidney Failure, Chronic
Kidney Transplantation
Male
Middle Aged
Retrospective Studies
Time Factors
Transplantation, Homologous
Treatment Outcome
Cadaver
Creatinine
Female
Graft Survival
Humans
Kidney
Kidney Failure, Chronic
Kidney Transplantation
Male
Middle Aged
Retrospective Studies
Time Factors
Transplantation, Homologous
Treatment Outcome
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
Abstract
It has been suggested that the left kidney is easier to transplant than the right kidney because of the longer length of the left renal vein, facilitating the formation of the venous anastomosis. There are conflicting reports of differing renal allograft outcomes based on the side of donor kidney transplanted (left or right).We sought to determine the effect of side of donor kidney on early and late allograft outcome in our renal transplant population. We performed a retrospective analysis of transplanted left-right deceased donor kidney pairs in Ireland between January 1, 1998 and December 31, 2008. We used a time to death-censored graft failure approach for long-term allograft survival and also examined serum creatinine at different time points post-transplantation. All outcomes were included from day of transplant onwards. A total of 646 transplants were performed from 323 donors. The incidence of delayed graft function was 16.1% in both groups and there was no significant difference in acute rejection episodes or serum creatinine from 1 month to 8 years post-transplantation.There were 47 death-censored allograft failures in the left-sided group compared to 57 in the right-sided group (P = 0.24). These observations show no difference in renal transplant outcome between the recipients of left- and right-sided deceased donor kidneys.
Language
en
ISSN
1432-2277
eISSN
ISBN
DOI
PMID
19891044